Individual
DARNELL DEWAYNE GOINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7312 MAITLAND LN, CHARLOTTE, NC 28215-9062
(704) 930-1513
Mailing address
7312 MAITLAND LN, CHARLOTTE, NC 28215-9062
(704) 930-1513
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
12996518
NC
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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